- Date
- 10/16/2021
- Report number
- 00167914-AP-133192
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is care planned for assistance with all mobility. AV is a known fall risk with a history of falls and has a pattern of waking to use the toilet at night without assistance. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls. According to an investigation, AV experienced multiple falls between August 17, 2021, and October 16, 2021, which resulted in various abrasions and caused repeated unreasonable discomfort. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
- Sanction
- ALFCP24-00693 $250.00 fine assessed